<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">优惠券名称</label>
            <div class="layui-input-block">
                <input type="text" name="title" class="layui-input" lay-verify="required" placeholder="请输入优惠券名称" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">兑换消耗积分值</label>
            <div class="layui-input-block">
                <input type="text" name="integral" class="layui-input" lay-verify="required" placeholder="请输入兑换消耗积分值" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">兑换的优惠券面值</label>
            <div class="layui-input-block">
                <input type="text" name="coupon_price" class="layui-input" lay-verify="required" placeholder="请输入兑换的优惠券面值" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">最低消费多少金额可用优惠券</label>
            <div class="layui-input-block">
                <input type="text" name="use_min_price" class="layui-input" lay-verify="required" placeholder="请输入最低消费多少金额可用优惠券" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">优惠券有效期限（单位：天）</label>
            <div class="layui-input-block">
                <input type="text" name="coupon_time" class="layui-input" lay-verify="required" placeholder="请输入优惠券有效期限（单位：天）" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">排序</label>
            <div class="layui-input-block">
                <input type="text" name="sort" class="layui-input" lay-verify="required" placeholder="请输入排序" value="1">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态0：关闭，1：开启</label>
            <div class="layui-input-block">
                <input type="text" name="status" class="layui-input" lay-verify="required" placeholder="请输入状态0：关闭，1：开启" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">兑换项目添加时间</label>
            <div class="layui-input-block">
                <input type="text" name="add_time" class="layui-input" lay-verify="required" placeholder="请输入兑换项目添加时间" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">是否删除</label>
            <div class="layui-input-block">
                <input type="text" name="is_del" class="layui-input" lay-verify="required" placeholder="请输入是否删除" value="0">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>